Provider Demographics
NPI:1104636091
Name:HOOD, CAROL LYNN (CDCA I)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:LYNN
Last Name:HOOD
Suffix:
Gender:F
Credentials:CDCA I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8576 GODDARD CRAFT LN
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-9626
Mailing Address - Country:US
Mailing Address - Phone:740-202-2772
Mailing Address - Fax:
Practice Address - Street 1:8576 GODDARD CRAFT LN
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-9626
Practice Address - Country:US
Practice Address - Phone:740-202-2772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH190235171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator